Healthcare Provider Details
I. General information
NPI: 1548792575
Provider Name (Legal Business Name): CONTINUUM PALLIATIVE RESOURCES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2017
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3010 BEARD RD
NAPA CA
94558-3442
US
IV. Provider business mailing address
3010 BEARD RD
NAPA CA
94558-3442
US
V. Phone/Fax
- Phone: 707-257-1550
- Fax: 707-819-9014
- Phone: 707-257-1550
- Fax: 707-819-9014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALEXANDRE
A
DE MORAES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 707-299-7331